Single-incision laparoscopic right colectomy in an unselected patient population

Boone, Brian A.; Wagner, Patrick; Ganchuk, Emily; Evans, L; Zeh, H.; Bartlett, David L.; Holtzman, Matthew P.

doi:10.1007/s00464-011-2076-4

Cited by 19 publications

(12 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rather, both remained consistent with other reported series of both single-port and multiport laparoscopic colectomies [10,[12][13][14]. This suggests that the key to determining patient recovery may not lie within the approach between single or multi-port laparoscopy, and instead hinders on the nature of the operation itself and/or inherent patient factors.…”

Section: Discussionsupporting

confidence: 86%

Evaluation of the Single-Port Laparoscopic Right Hemicolectomy Learning Curve

George¹,

Guzman²,

Waters³

et al. 2013

View full text Add to dashboard Cite

Background: The use of single-port laparoscopy has gained popularity within recent years. Part of the appeal in learning this approach is that it draws heavily from concepts mastered through conventional laparoscopy. Various studies have shown the efficacy and feasibility of the single-port laparoscopic approach, but there are few that examine the learning curve in adopting this new technique. Objective: Our goal was to better define the learning curve in performing a single-port laparoscopic right hemicolectomy. Design: A review of prospectively gathered operative data was performed to analyze the results of single-port laparoscopic right hemicolectomies performed within our institution by experienced laparoscopic surgeons. The first 100 cases were divided into quintiles. Comparisons were made among the cohorts regarding patient demographics, operative time, length of stay, conversions, and complications. Results: There was no difference among quintiles with regard to age, sex, BMI, or ASA class. Operative time, conversions, length of stay, and number of complications did not significantly vary among each group of patients. There was a significant difference in estimated blood loss and length of stay between the fifth cohort and the others due to one patient's poor outcome. Conclusions: The single-port laparoscopic right hemicolectomy learning curve for surgeons already skilled in laparoscopy is short. There are few differences in various outcome measures among groups at any stage in the learning curve. The skills utilized to perform conventional laparoscopic colorectal surgery readily translate to the single-port approach and result in proficiency from nearly the start.

show abstract

Section: Discussionsupporting

confidence: 86%

Evaluation of the Single-Port Laparoscopic Right Hemicolectomy Learning Curve

George¹,

Guzman²,

Waters³

et al. 2013

View full text Add to dashboard Cite

show abstract

“…We can conclude from the PubMed literature search that single‐incision laparoscopic hemicolectomy can be performed safely in selected patients. Complications reported in the literature are: conversion [5–10], postoperative wound infection [9,11], intra‐abdominal abscess [9], anastomosic bleeding [12–14], pulmonary complications [15], wound haematoma requiring evacuation [13], urinary tract infection [16], ileus [13,16], chest infection [17], seroma [9,14] and subobstruction because of adhesions [9,14]. In our study, one chest infection occurred.…”

Section: Discussionmentioning

confidence: 76%

“…All margins were tumour-free for at least 3 cm. The median (range) number of harvested lymph nodes in the specimen was 13.5 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Resultsmentioning

confidence: 99%

Single‐incision right hemicolectomy for malignancy: a feasible technique with standard laparoscopic instrumentation

et al. 2012

View full text Add to dashboard Cite

Single-incision laparoscopy using standard laparoscopic instruments appears to be a safe and feasible technique for malignant disease requiring right hemicolectomy. Randomized, prospective trials are ongoing to prove the benefits of this technique and to compare its oncological outcome measures with those of conventional laparoscopy. In our experience, a low-profile port with a wide intra-abdominal range of motion is most preferable.

show abstract

“…Conventional ML-RH has aroused interest among many surgeons since its inception and has gradually become one of the most widely performed surgical procedures in the treatment of colon cancer [3,24]. ML-RH has been proven as a safe technical alternative to O-RH for patients with colon cancer, in terms of minimal invasion, faster postoperative recovery, and lower rates of wound infection.…”

Section: Discussionmentioning

confidence: 99%

“…Ceppa et al [21] reported that SIL-RH was associated with a slightly higher cost than ML-RH, with the difference in cost being eliminated by the multiple use of the reusable optical system. Boone et al [24] concluded that SIL-RH was associated with a 27 % lower mean operative cost and a 10 % lower mean total cost compared with ML-RH. On the other hand, Mufty et al [25] concluded that SIL-RH was associated with a higher cost than ML-RH, with the single-incision extra port being responsible for the extra cost.…”

Section: Discussionmentioning

confidence: 99%

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Αποστόλου

Orfanos²,

Papalois

et al. 2015

Indian J Surg

View full text Add to dashboard Cite

As surgeons became more adept with laparoscopic colon surgery, other less invasive procedures, such as singleincision laparoscopic right hemi-colectomy (SIL-RH), have been applied. The objective of this study was to evaluate the safety of SIL-RH as well as its intraoperative and postoperative outcomes for right-sided colon diseases. A detailed search in PubMed for citations that included SIL-RH from 2000 to 2014 revealed 21 studies fulfilling the criteria of the present review. A total of 684 patients were analyzed. Of the patients, 50.2 % were men. Mean patient age was 64.8 years. Of the patients, 36.1 % had already undergone an abdominal operation before the performance of SIL-RH, while 69 % of the patients underwent SIL-RH for colon cancer. Relatively low rates of overall morbidity (15 %) and mortality (0.75 %) were reported in the included studies. Mean length of postoperative hospital stay (LOS) was 5.5 days. Bowel motility return had a mean value of 2.8 days. Mean number of harvested lymph nodes (LN) was 19.2 LN. All resection margins were tumorfree. SIL-RH was a safe alternative to multiport laparoscopic right hemi-colectomy (ML-RH) in terms of morbidity and mortality, postoperative gastrointestinal function recovery, LOS, as well as oncological radicalness.

show abstract

Single-incision laparoscopic right colectomy in an unselected patient population

Abstract: Single-incision laparoscopic colectomy is feasible, safe, efficient, and oncologically sound for most patients who are seen in a typical colorectal practice. These data are useful as single-incision laparoscopic colectomy becomes more broadly implemented.

Cited by 19 publications

References 34 publications

Evaluation of the Single-Port Laparoscopic Right Hemicolectomy Learning Curve

Evaluation of the Single-Port Laparoscopic Right Hemicolectomy Learning Curve

Single‐incision right hemicolectomy for malignancy: a feasible technique with standard laparoscopic instrumentation

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Contact Info

Product

Resources

About